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Case Management
Our case management approach is collaborative and person-centred, focused on understanding each person’s unique circumstances and coordinating the right support to promote health, wellbeing, safety, and quality of life.
You or your loved one may be referred to us by a solicitor, deputy, insurer, the NHS, or social services, or you may come directly to us. However you arrive, our goal is the same: to provide compassionate, expert support that helps you navigate life after brain injury.
Our Process
Meet & Greet
On receiving an enquiry about case management, we will provide profiles of available case managers with the right skills and experience to support your unique needs. Once you have decided who you would like to meet, we arrange an online introduction known as a “meet and greet”. This is an opportunity for you and your loved ones, to get to know the Case Manager and decide if you would be comfortable working together. Building trust and a good connection from the start is an important part of the process.
Initial Assessment
Upon receiving confirmation to proceed, the Case Manager will arrange to visit you at home to carry out an assessment. Through observations and conversations with all concerned, we identify how we may help you to navigate life after brain injury. Through these discussions, the Case Manager will gain a comprehensive understanding of your circumstances, needs, and priorities, and begin to formulate a case management plan, potentially including recommendations for additional services, designed to support you to reach you full potential and enhance the quality of life for you and your family.
Planning
Following the assessment, the Case Manager will supply a report to the referrer incorporating a personalised and costed Clinical Case Management plan. This plan highlights what is most important to the individual, including their values, priorities, and goals. It outlines the therapies, support networks, and practical interventions needed to help achieve those goals, which may include areas such as health, rehabilitation, education, daily living, or vocational support. The plan is designed to be realistic, safe, and make effective use of the resources available.
Coordination
Once the plan has been reviewed and agreed, the Case Manager takes the lead in implementing and coordinating the support and services involved, ensuring that all aspects of care work together to meet the individual’s needs. They collaborate closely with therapists, healthcare professionals, and support providers to maintain clear communication and continuity throughout. The Case Manager works alongside the individual and their loved ones to review progress, discuss options, and make shared decisions about any adjustments to the plan. They take into account what support and resources are available, ensuring that the plan remains both achievable and effective. At all times, the Case Manager advocates at every level on behalf of the individual, ensuring their voice is heard, their needs are prioritised, and their care remains person-centred and responsive to changing circumstances.
Monitoring
The Case Manager continues to oversee progress, ensuring that the plan remains relevant and effective as needs develop. They maintain regular contact with the individual, their loved ones, and the wider support team to review how things are going and to identify any areas that may need adjustment.
By keeping communication open and consistent, the Case Manager helps everyone involved stay informed and focused on shared goals. They ensure that care remains.
Evaluation & Review
Evaluation is an ongoing part of the process, ensuring that the support in place continues to meet the individual’s needs. The Case Manager regularly reviews how the plan is supporting progress towards the agreed goals, considering the effectiveness of each service and intervention. They work closely with the individual, their loved ones, and the wider team to reflect on what is going well and to identify any areas that may benefit from change. Where further input or new approaches could be helpful, these are discussed and agreed together, ensuring care remains effective, person-centred, and responsive to ongoing needs.
Case Management is not a linear process. With brain injury in particular, needs are always changing and frequently unpredictable therefor the case manager is always reviewing their plan of intervention.
Case Management
We recognise that following a brain injury, there are a lot of new things to adjust to and deal with – for both the injured person and their family.
Assessments
We recognise that following a brain injury, there are a lot of new things to adjust to and deal with – for both the injured person and their family.
Conferences & Training
We recognise that following a brain injury, there are a lot of new things to adjust to and deal with – for both the injured person and their family.
Expert Witness Services
We recognise that following a brain injury, there are a lot of new things to adjust to and deal with – for both the injured person and their family.
Case Study
Enabling a life of comfort, connection, and meaning after severe injury
AB, a highly creative and skilled craftsperson, sustained a severe traumatic brain injury in a road traffic collision in 2016 when she was in her 30’s and had a young child. After lifesaving treatment and 18 months in a prolonged disorder of consciousness unit, she was assessed to be in a minimally conscious state with complex physical, cognitive, and medical needs.
Facilitating quality of life and autonomy through specialist brain injury case management
Summary of injury and rehab pathway
RTA in 1988 followed by specialist rehabilitation for 2-3 years, moving on to a longer stay accommodation at the rehab unit. At his request he then moved to his own house with minimal support until a gradual deterioration led to an emergency hospital admission in 2015, as which point case management was sought by his Deputy.
Memberships
